Medicare in Pennsylvania

Medicare plans in Philadelphia, PA: open enrollment guide

Medicare's open enrollment runs October 15 to December 7. What matters for Philadelphia: which health systems to check, and where county and state lines change your options.

Medicare in Philadelphia

Philadelphia has several major academic systems, including Penn Medicine, Jefferson and Temple, and plans differ in which they include. If your care is with one of them, check that first.

Many people live in the surrounding suburbs and get care in the city. Confirm your doctors are in the network for your own county.

Philadelphia is in Philadelphia County, Pennsylvania. Where you live decides which plans and prices you can get, because plan availability is set by county and ZIP code.

Use the “Look at plans yourself” button at the top of the page to compare plans for Pennsylvania on your own, or call and we will go through it with you.

Health systems to check in Philadelphia

Before you choose or keep a plan, check that your own doctors and hospitals are in its network. These are among the largest systems serving the area. Naming them here is not a statement that any plan includes them.

County and state lines near Philadelphia

Philadelphia County borders Montgomery, Bucks and Delaware counties in Pennsylvania and, across the river, Camden County in New Jersey. Plan availability and networks can change at the county or state line.

The dates

Medicare's Annual Enrollment Period runs October 15 to December 7, and changes start January 1. People already in a Medicare Advantage plan get one more change between January 1 and March 31.

Free, unbiased Medicare counseling in Pennsylvania is also available through PA MEDI (Pennsylvania Medicare Education and Decision Insight, formerly APPRISE) at 1-800-783-7067.

More on Medicare in Pennsylvania

Medicare questions in Philadelphia

Which Philadelphia health systems should I check a Medicare plan against?

Penn Medicine, Jefferson Health, Temple Health, Main Line Health, Children's Hospital of Philadelphia are among the largest systems serving Philadelphia. A plan can include some and leave out others, so check the specific doctor and hospital you use. Naming a system here does not mean any plan includes it.

Does it matter which county or state line I live on near Philadelphia?

Philadelphia County borders Montgomery, Bucks and Delaware counties in Pennsylvania and, across the river, Camden County in New Jersey. Plan availability and networks can change at the county or state line.

Penn Medicine, Jefferson and Temple are all nearby. Are they all in every plan?

No. Each plan chooses which systems and doctors to include. Ask about the specific hospital and doctor you use, and do not assume a plan that includes one of the big systems includes the others.

More for Philadelphia

Talk through your Medicare options in Philadelphia

Call 855-367-1095 and a licensed agent will review your plan, doctors and prescriptions with you before December 7.

  • Licensed insurance help
  • No guaranteed eligibility, pricing, or availability
  • Educational starting point

GetFastRates.com is not connected with or endorsed by the U.S. government or the federal Medicare program. Calling connects you with licensed insurance help. Plan availability, costs, benefits, and enrollment rules can vary by state, carrier, and individual situation.